I had a lipoma removed 2 weeks ago. Can cauterization cause tissue build up?

Question

The surgeon looked at the lump that has formed, and says because I bled a lot and he had to cauterize that it is probably still blood accumulation. The lump is almost as big as my lipoma was. It is tender and sore to the touch, still. Can the lump be due to tissue from being cauterized? It seems weird that it has not gone down. It was flat for 2 days after the surgery. Concerned I may still have a lump!!! Doctor said to wait a little longer-no need to drain.

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question and I am sorry to hear of your lump difficulties. Based on your narrative alone it sounds as if you may have a hematoma - a discrete fluid collection that developed during your recovery.  This causes enlargement of the tissues, pain, and oftentimes bruising to the skin.  Small hematomas will absorb spontaneously while larger ones may require drainage.  Maintain close follow up with your surgeon they should help you recover from this issue.

Hratch Karamanoukian, MD, FACS · Answer

Hematoma or seroma are likely scenarios and you need to be evaluated with in person exam and B mode ultrasound.H Karamanoukian MD FACS

I had a lipoma removed 2 weeks ago. Can cauterization cause tissue build up?

Answers (2)